Most Relevant Information
Provider Data
| NPI Number: | 1003313008 |
| Provider Name: | JESSIKA JUNICK NP-C |
| Entity Type: | Individual |
| Taxonomy Code: | 363LF0000X |
| Specialty: | Nurse Practitioner |
| License Number: | 53274 |
Most Important Dates
| Enumeration Date: | 04/07/2018 |
| Last Updated: | 09/06/2018 |
Provider Practice Location
3825 EUBANK BLVD NE STE A
ALBUQUERQUE
NM
87111
Practice Location Phone/Fax
| Phone: | 5052928575 |
| Fax: | 5052928409 |
Provider Mailing Location
3825 EUBANK BLVD NE
STE A
ALBUQUERQUE
NM
871113559
Provider Mailing Phone/Fax
| Phone: | 5052697110 |
| Fax: |